Nurses General Nursing
Published Apr 25, 2014
HyperSaurus, RN, BSN
765 Posts
As inspired by a reddit.com/r/nursing post, what kind of bingo could you make for your unit?
Here's the example I saw for the ED http://imgur.com/G4xjjWA
AgentBeast, BSN, RN
1,974 Posts
***** this is a really good idea.
For NICU: Call for transport, 29-weeker in L&D with PROM, IV went bad, Twins!, Poop squirt
For Medical: Pt needs foley, IV went bad, Sundowner, "Yellow Brick Road" (one side of the hall of all contact precautions), AMA threatened, Rapid Response!, Multiple admits at same time
blondy2061h, MSN, RN
1 Article; 4,094 Posts
BMT: Pan Culture, Lab calls critical result, change at least 2 patients' fungal coverage, NPO patient is drinking, someone other than the patient is in bed, some ill relative wants to know if they "really can't visit," someone gets put on flagyl, Rigors!, temp >40c, SBP 1 bone marrow biopsy in one day
danceyrun
161 Posts
Blondy I'd like to add to BMT: every time your pt walks out of their room without a mask on
calivianya, BSN, RN
2,418 Posts
MSICU:
- Transfer from floor - oversedation
- 3rd day after admit, surprise DTs
- Noncompliant dialysis patient
- DKA: "I just wanted to party with my friends! I only had eleven drinks!"
- Only the incompetent hospitalist is on
- Surgeon hangs up on you without giving orders
- Sundowner attacks!
- Supply pyxis out of primary tubing
- GI bleed gets up and smears black tarry stinky stool all over room
- Family agitating ventilator patient, asks why you are increasing sedation
- Forgot to order new bag of vasopressor in time, pt BP tanks
- Med pyxis out of propofol again
- New admit just got tPA
- Tube feed patient poops more than 8 times per shift, still not thin enough to insert a rectal tube
- Urine output drops off
- Out of pillows
- No snacks at all in nourishment room; diabetic patient goes hypoglycemic
- 75% of patients on unit in restraints
Here.I.Stand, BSN, RN
5,047 Posts
For SICU:
-GSWs from rival gangs both admitted
-80 lb LOL extubates herself
-Neurosurg won't order sedation for their new admit. Need an accurate neuro exam.
-Said pt is on the ceiling. Need to pry him off.
-Art line went bad
-ICP is 50, and the pt ain't coughing so that's not it
-And the EVD just clotted off
-need to hunt for the Level 1
-lose the bet on the admit's EtOH
-Facial GSW, or C1-2 fx, just extubated himself
-Family up in your vented pt's face
-Family trying to orally hydrate your vented pt
-Washout at the bedside
-Explain that yes, those q 1 hr neuro checks really are necessary
-Explain that no, I can't just shut the other pts' alarms off
For LTACH (where I last worked):
-Septic pt, pan cx
-No sedation + physical restraints. That's against policy--sedation is a chemical restraint
-IVs need changing, and pt hasn't had any veins in a month
-Severe delirium
-Family stressed to the max, and nurse is closest target
-Kitchen missed a dinner tray. Staff still in kitchen, but won't fix the problem. They're closed.
-Four very sick pt's, plus an admit from friendly neighborhood ICU (see above ^^^)
-or admit from friendly neighborhood burn unit
-FREE SPACE: Presence of a resource nurse means a floor nurse can go home sick! Woo hoo!!
-Three pts' wound vacs need changing today
-Or just one, but it's four wounds bridged to one vac
-Wound vac alarming "Low pressure"
-Two hour dressing change
-Out of a pain med, and offsite pharmacy is taking sweet time
-Vent alarms, bed alarms, tele alarms
-Small bore feeding tube plugged w/ all those meds
Our entire unit is HEPA filtered and patients can ambulate the unit without a mask, they just need one if leaving the unit for a test.
Mandychelle79, ASN, RN
771 Posts
Psych.
1) orders put in after pharmacy leaves and the only place to get the med is the pharmacy
2) No sterile water to mix the zyprexa IM
3) Pt acting out and no PRN's ordered
4) Pt with negative UDS starts to withdraw
5) BAC>.3 and is stone cold sober
6:) I drink 3 drinks a day
7) visual hallucinations
8) dinner tray getting tossed because meal wasnt right
9: my meal wasnt right
10) needing to call a violent code
11: needing to call a medical code
12: catch patient snorting pills
13: pt calling staff crazy
14: snack time chaos
15: float nurse
16: 4 admits hit the floor at one time
17: medical unit tries to send medically unstable patient
18: behavioral fall
19: elopement
20: call off
21: seclusion
22: after hours discharge
23: Pt lying about meds they take
24: I only said I was suicidal because I needed a place to stay
25: Pt brought from jail.
Caffeine_IV
1,198 Posts
Med Surg:
Bed alarm going off
"This pain medicine isn't working"
I'm nauseated, can I have a burger?
ER admit
Vital signs q 4
I'm too tired to ambulate.
Code Silver
What's a code silver?